Organization Active NPI

Dominic a Rizzo DPM Cleri

  • Foot & Ankle Surgery Podiatrist
  • Blue Ash, OH
National Provider Identifier
1003304049
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
DOMINIC A RIZZO DPM CLERI
Practice address
4260 Glendale Milford Rd
Suite 103a
Blue Ash, OH 45242
Phone
(513) 769-4408
Fax
(513) 474-1906
NPI assigned
Apr 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Arnita Carrington
Title
Manager
Phone
(513) 474-1906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

4260 Glendale Milford Rd
Suite 103a
Blue Ash, OH 45242

Mailing address

PO Box 353
Batavia, OH 45103-0353
Phone (513) 474-1906

Other identifiers 1

IdentifierTypeStateIssuer
0331161MedicaidOH

Other names 1

  • CLERI Doing business as

National Provider Directory

National Provider Directory

Locations

4260 Glendale Milford Rd
Ste 103A
Blue Ash, OH 45242
Phone (513) 238-3099

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1003304049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 353",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451030353",
            "telephone_number": "513-474-1906",
            "fax_number": "513-474-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4260 GLENDALE MILFORD RD",
            "address_2": "SUITE 103A",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "45242",
            "telephone_number": "513-769-4408",
            "fax_number": "513-474-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINIC A RIZZO DPM CLERI",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-25",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "CARRINGTON",
        "authorized_official_first_name": "ARNITA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "513-474-1906"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0331161",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLERI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.